Breed, age, and hereditary concerns can all impact the cost of a pet insurance premium. Additionally, the major factors that affect a monthly/annual premium cost are the deductible amount, the maximum payout, and the type of insurance. Accident-only insurance will have a much lower premium than lifetime insurance with no lifetime payout limit. The median is time-limited insurance, meaning a medical condition or accident will be fully treated in the year it occurs, but not if it reoccurs in subsequent years. Routine care/wellness and dental coverage are optional on some plans and will further increase the cost of premiums.